# WEST BLOOMFIELD OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medilodge of West Bloomfield
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174311732
- **Authorized official:** KRISTINE RANEL KIRK (DELEGATED OFFICIAL)
- **Authorized official phone:** (417) 846-3521

## Contact information

- **Practice address:** 6950 FARMINGTON RD, WEST BLOOMFIELD, MI 48322-3220
- **Practice address phone:** (248) 661-1700
- **Practice address fax:** (248) 661-7834
- **Mailing address:** 6950 FARMINGTON RD, WEST BLOOMFIELD, MI 48322-3220
- **Mailing address phone:** (248) 661-1700
- **Mailing address fax:** (248) 661-7834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2025
- **Last updated:** 10/23/2025